The page or information you have requested is intended for an audience outside the United States. By continuing to browse you confirm that you are a non-US resident requesting access to this page or information.

Rems Murr clinic

Hybrid OR a good investment in the future, even for medium-sized hospitals


The trend is clear – more and more hospitals are choosing to build hybrid ORs. While in the past these were mainly realized by large facilities, which combined a conventional operating room with large imaging equipment, medium-sized hospitals like the Rems-Murr Clinic in Winnenden, Germany, are increasingly being won over by the benefits of a hybrid OR. The latest intraoperative diagnostic and treatment options for vascular, trauma and neurosurgery, along with improved patient care, are the most convincing arguments for setting up a high-tech operating room. “For us, the hybrid OR is a key part of our goal to improve quality through interdisciplinary medical care,” says Daniel von Bischopinck, Technical Manager of the Rems-Murr Clinic, explaining the decision to implement a hybrid OR. In addition, the hybrid OR is more cost-effective, thanks to its interdisciplinary usage options. The new technology will also allow the basic and standard-care hospital just outside Stuttgart, Germany, with its 650 beds, to position itself strongly in the regional health-care market.

Trend toward interdisciplinary collaboration is crucial

In June 2012, the new clinic in Winnenden was already under construction when the decisive step was taken toward a hybrid OR. “For us, the key was realizing that interdisciplinary collaboration is becoming more and more important for patient care,” explains von Bischopinck. “Furthermore, modern medical engineering equipment that allows for innovative treatments is essential if we want to attract and keep first-class doctors and medical staff.” After a thorough analysis, tours of Best Practice examples in other hospitals and a tour of hybrid OR specialist Maquet in Rastatt, Germany, the clinic decided to install a hybrid OR as part of the new building. To account for the additional space that the plan would require, Head of Medical Engineering Georg Kronschnabl and a team of specialized planners redesigned two of the originally planned ORs. “The wide range of possible uses make this spatial and functional concept for the hybrid OR much more ambitious than a plan for a conventional operating room,” explains Kronschnabl. In contrast to a standard OR, the special challenge in implementing a hybrid OR is its complexity. In addition to measuring the space and choosing medical engineering equipment, numerous other planning and technical tasks like ventilation and air conditioning, electrical installations and radiation protection also need to be taken into account. “The big challenge was successfully working with all of the individual trades to create a single functioning system, on schedule and of course on budget,” says Georg Kronschnabl in describing the project, which was implemented in just 14 months – from the planning phase to the call for tenders to installation.

OR table is the starting point for all other plans

At the heart of the hybrid OR are the MAGNUS OR table system from Maquet and the Allura FD 20 ceiling-mounted angiography system from Philips. In this project, the OR table plays a special role in the medical engineering plans – it serves as a reference point for all of the medical engineering equipment. The room concept requires a careful analysis of the application areas and technical requirements. “It is essential for the medical specialists and the OR team to be closely involved, especially during the planning phase, so the workflows can be perfectly mapped for all of the participating specialized disciplines,” explains von Bischopinck. Through choosing the Magnus, Rems-Murr Clinic has received a full-fledged OR table system. “The great advantage is that the hybrid OR with the Magnus can also be used for normal OR procedures, which guarantees the best possible utilization of the space,” says Kronschnabl. “That is not always an option with the tables from imaging manufacturers.”

Positive responses validate the project

Since the end of September, the hybrid OR in Winnenden has had a very good interdisciplinary response to its first few procedures. For most doctors and the OR team, working in the hybrid OR is a new experience that involves a corresponding learning phase. As a rule, the various professions have to change their usual workflows in order to work together. That is why the Rems-Murr Clinic will focus on providing training for workflows and interdisciplinary approaches in the next few months. “The initial positive responses, and the strong interest in the new technology from doctors and the OR team, show that we are on the right path. I expect that the hybrid OR, along with all of its therapeutic, diagnostic and economic benefits, will be fully operational starting this summer,” says Daniel von Bischopinck.